Prevention & lipids

Effectiveness of polypill for primary and secondary prevention of cardiovascular disease: a pragmatic cluster-randomised controlled trial (PolyPars)

HeartPublished Cluster-randomised controlled trial

Authors' conclusion

The fixed-dose combination therapy using polypill can safely halve the risk of major cardiovascular diseases at the population level.

Study context

Population
Residents aged 50–75 years in a rural district of southern Iran (91 villages)
Participants
4,415 residents91 villages
Comparison
Polypill plus non-pharmacological intervention vs non-pharmacological intervention alone
  • Polypilln = 2,200
  • Controln = 2,215reference
Primary endpoint
First major CV event: hospitalisation for ACS (non-fatal MI, unstable angina), fatal MI, non-fatal and fatal stroke, sudden death and HF
Follow-up
Median 4.6 years
Methodological detailspragmatic, two-arm, nested within the PARS cohort study, Adherence to polypill 86%
  • Pragmatic
  • Two-arm
  • Nested within the PARS cohort study
  • Adherence to polypill 86%

Primary result

As reported in the abstract

Safety

Serious adverse events

No difference between the two groups

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effectiveness of polypill for primary and secondary prevention of cardiovascular disease: a pragmatic cluster-randomised controlled trial (PolyPars). Heart. Published 14 March 2024. doi:10.1136/heartjnl-2023-323614

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